Greenkill 2023

Greenkill
Student Name*

First NameLast Name
Class*
Parent Name*

First NameLast Name
Parent Cell Number*

Area CodePhone Number
Emergency Contact Name*

First NameLast Name
Emergency Contact Phone Number*

Area CodePhone Number
By completing and submitting this form, I give Yeshiva of Central Queens permission for my child, named above to attend the school overnight trip to Greenkill in Huguenot, NY, with his/her fifth grade class on January 10-11.
Trip Cost
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Greenkill
$150.00

Total

$0.00

Payment Methods

Debit or Credit Card

Choose from one of the PayPal options to make your payment.